| NPI | 1033309919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker Clinical (Licence: WA LW60324570) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: WA LH60338571) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2013-12-10 |